Some advice from the old anesthesiologist, and some personal opinions and suggestions

1. All anesthesia patients have to visit pre -surgery, regardless of emergency or options, so that they can do it. Consider all possible anesthesia accidents. And inform family members to sign the informed consent. While protecting patients, we also need to protect ourselves.

2. All the anesthesia, regardless of the tone hemp, nerve block, or in the spinal canal or general anesthesia. Before starting, you must detect the anesthesia machine and oxygen source to replace sodium lime in time.

3. All patients must ensure the smoothness of the liquid road, and reserve one more three links for easy administration at any time.

4. Patients with general anesthesia before anesthesia, especially patients with emergency and emergency patients.

5. Try to raise the bedside as much as possible.

6. Rescue medicine (basic medicine) must be pumped, prepared, and also prepares muscle pine.

7. The connection of the use of induction medicine and maintaining medicine is tightly connected to reduce the occurrence of knowledge in the surgery as much as possible.

8. After the general hemp patients are inserted into the tube, they listen to the double lung respiratory sound with a stethoscopy, and check whether there are phlegm sounds and wheezing. (Many young anesthesia doctors now do not need to the auscation or even use it) and determine the fixed position.

9. If the patient is tingling, nerve block, and internal anesthesia in the spinal canal. If you find that the effect is not good, do not use the medicine to report it in a timely manner or directly change the anesthesia.

10. In case of dangerous patients who need to be rescued and obese, there must be two and more than two anesthesiologists present (risks are everywhere).

11. Sophomics is a very rigorous operation: when the respiratory tract has phlegm sounds, it must be attracted under deep anesthesia. It is recommended to use less anti -choline drugs or not to prevent excessive gall alkaline. Can't suck in sputum. The mouth must be attracted.

12. For a long period of complex surgery, you must pump your muscles.

13. Don't stop the medicine rushing, be sure to wait for all the doctors to operate, and then stop the drug after the sputum is sucked. Patients' safety recovery is an excellent indicator.

14. Patients with general anesthesia must wait for the patient to be completely sober and then extract tube, especially obese patients.

15. Application of antagonists, New Si Ming and Atto must be antagonal after the patients are breathing back.

16. Permanent patients with general anesthesia should bring breathing ball pockets on the way back to the ward.

Author: Zhejiang Xin'an International Hospital, Tang Huadong (Jiaxin Tang)

[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~

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